NAAAP Detroit Membership Signup
NAAAP Detroit Membership Signup. Payment of $50 can be made before or after submitting the form.

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Email Address *
First Name *
Last Name *
What is the gender you self-identify with? *
What ethnicity/ethnicities do you self-identify with? *
Full mailing address *
Best contact number in case we need to reach you: *
Are you currently a high school or college/university student? *
If yes, what is the name of your institution? (mark N/A if you answered No). *
Highest Degree Achieved as of today: *
Are you currently employed? *
If yes, what is the name of your current employer/organization? (mark N/A if you are not currently employed) *
What is your current position in your organization? *
What is your industry? *
If other industry, please specify. Otherwise mark N/A. *
How did you learn about NAAAP Detroit? *
What is your Facebook profile URL? (If you don’t have one please mark N/A) *
What membership benefit is most important to you? *
If other, please specify. Otherwise mark N/A. *
Would you like to volunteer to help us plan, implement or grow? *
If Yes, please indicate which committees interest you the most (you may pick more than one): *
Membership Type (if you are a student, or, if you are registering as an employee of one of our sponsors, please select “Will have to complete membership manually” and contact to complete your enrollment) *
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